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It looks like I may end up being a slow loser, so I think not getting frustrated with that might end up being my biggest obstacle. Then the frustration has turned into getting off track in the past. I will have to accept that it may be slow, but that is ok. Hoping this time is different & also working hard to make it different.

I was making sugar free hot cocoa from scratch (unsweetened cocoa powder, add splenda, mix in a bit of fairlife skim milk to make a paste, then add more milk and heat) but it was clumpy. What is your trick to make it not clumpy? I found it tasted a lot better than the sugar free swiss miss, but the clumps of cocoa powder weren't fun.

https://www.swissmiss.com/sensible-sweets/no-sugar-added-hot-cocoa-mix Has anyone tried Swiss Miss, no sugar added hot cocoa mix? Is this a good product for WLS?

Yes it was for the clumps 😩 For pure cacao : I stirred the paste of cacao, sugar substitute and a pinch of salt with a fork or whisk little at a time in boiling water until they dissolved and then added the milk last. However the exact opposite seemed to work for the SwissMiss, it needed cold water to dissolve.

It very much depends on your insurance requirements as ShoppGirl mentioned. My insurance required 6 months of monitored weight loss, 3 months of nutrition, lung clearance, heart clearance, nutrition classes, surgical classes, psyche clearance, etc. The whole process took approximately 8 months from my first appointment until the day I had my surgery. I was also able to lose 68 pounds in that time so I was at least productive during that time lol.

Update: I heard back from the surgery coordinator and they have submitted the prior authorization with a weight that has a BMI of about 43, so I'm cleared to lose weight again! Yay! Now, if only I hadn't bought that tub of ice cream...

Most surgeons give you a plan that starts with a liquid phase. That is for allowing your stomach to heal, but it may end up being less than 500 calories per day. Depending on the plan they give you and how your body adjusts, you may be eating 500-700 during those transitional weeks after surgery. i never track calories, personally. I listen to my body’s signs of fullness and prioritize protein and fresh vegs and fruit. It is possible that consuming too few calories will actually result in your body stalling because it will think you are starving and go into survival mode.

Dr Alex Earle at Pure Plastic Surgery in Miami. He and his team are really awesome.

This is an old thread :) I had my surgery back in January! Feeling great & loving how it all turned out.

How's everyone doing? I'm still fighting insurance company over plastics. Many changes at work are coming up. It's very stressful but there are also some opportunities involved, both in regards to personal development and promotion.